Viral hepatitis and HIV in dental practice
This book is intended for dental practitioners and students. It also deals with issues of dental practice related to dental technicians, X-ray technicians and service personnel. We have presented the most up-to-date knowledge of HIV and hepatitis, sharing our scientific research in the field. We pay special attention to disinfection and sterilization, emphasizing generally accepted situations, disinfection protocols, duties of dentists and dental technicians.
Since the discovery of HIV in 1981, there are people infected with it all over the world. It affects all socio-economic, racial, ethnic and gender communities and continues to cause human morbidity and mortality. Officially, at the end of 2010, 1252 patients were known in our country, but they are at least 3 times more. Over 65% of the newly registered HIV-positives were found in the offices for free counseling in Sofia and Plovdiv and half are between the ages of 15 and 29, with 32% being injecting drug users and 20% being homosexual.
Advances in medicine and technology contribute to the introduction of new drug combinations for the treatment of HIV-positive patients, for early HIV testing. Now there is a new method that is done with saliva. And despite significant improvements in the prevention, detection and treatment of HIV, scientists cannot provide a vaccine.
Globally, 350–400 million suffer from chronic HBV infection and 1.5% from hepatitis C (about 100 million), and a very large proportion of them do not even know. Of those with hepatitis C, 85% remain infected for life. Deaths due to hepatitis C will double, even triple, in the next 15–20 years. More than any other profession, dentists and dental staff are thought to be involved in transmitting the virus to their patients.
Addressing the issues mentioned, we attempt to delineate the role of the dental practitioner as a health professional who treats the chronically ill with hepatitis B and C, as well as HIV-related lesions. The possibility of timely diagnosis of diseases, high-quality disinfection and sterilization, which is of fundamental importance both for the successful improvement of the quality of life of infected patients and for limiting the spread of these diseases, is also emerging.
*********************************************************************************************************************